cytotoxic hazardous medications non-cytotoxic...
TRANSCRIPT
is chart is taken from the WRHA Safe Handling of Hazardous Medications (Cytotoxic and Non-Cytotoxic)This chart is tPolicy 110.160.010 July 2012 at http://home.wrha.mb.ca/corp/policy/fi les/110.160.010.pdfp p p y p fPlease refer to this policy for more detailed information about the safe handling of hazardousmedications.
For the most recent version of the drug table, go tohttp://home.wrha.mb.ca/prog/pharmacy/drugs_safehandling.php
Safe Handling of Hazardous Medications Chart
DisclaimerThe WRHA and CancerCare MB “Safe Handling of Hazardous Medications” chart was developed to provide direction in the safe handling of cytotoxic and non-cytotoxic hazardous medications as defi ned in the attached medication listing. The information presented in this chart is intended for use by staff of the WRHA and CancerCare MB only. The authors have made every effort to ensure that the information presented was accurate at the time of publication. As new research and experience broadens our knowledge, changes in handling requirements as well as the medication listing will be required. Neither the authors, reviewers, nor publishers can be responsible for errors, omissions, inconsistencies or continued completeness of the information contained in the chart or medication listing. The information in this chart and medication listing should not be used in place of the skill and professional judgment required when determining appropriate handling of these medications. Information on the medication listing will be reviewed and updated periodically, however ongoing accuracy at particular points in time cannot be assured. The onus is on the user to contact the WRHA Pharmacy Program for updates. January 2013
C YTOTOXIC HAZARDOUS MEDICATIONS NON-CYTOTOXIC HAZARDOUS MEDICATIONS
Precautions Injectable Solid Oral Dosage Form
CompromisedDosage Form
pp*
Injectable Solid Oral Dosage Form
CompromisedDosage Form
pp*
ReceivingProtective wear (unpacking stock from warehouse, manufacturer,external pharmacy)
Exam Gloves Exam Gloves Exam Gloves No special requirements
No special requirements
No special requirements
Protective wear - receiving stock that has been damaged (stock con-tents confi rmed with packing slip)
Chemo Gloves Procedure Mask
Chemo Gown
Chemo Gloves Procedure Mask
Chemo Gown
Chemo Gloves Procedure Mask
Chemo Gown
Exam Gloves Procedure Mask
Exam Gown
Exam Gloves Procedure Mask
Exam Gown
Exam Gloves Procedure Mask
Exam Gown
Preparation & Transport
Prepared by Pharmacy Pharmacy Pharmacy Except Dissolve & Dose
Nurse (or Pharmacy for
specifi ed medications)Pharmacy Pharmacy
Except Dissolve & Dose
Preparation areaClass II B2 biological
safety cabinet oralternate closed system
Designatedcytotoxic
packaging area
Designatedcytotoxic
packaging areaWard or Pharmacy
Designatedcytotoxic
packaging area
Designatedcytotoxic
packaging area
Protective wear (for staff preparing the area)
Chemo Gloves Shoe Covers None None None None None
Protective wear (for staff preparing medication doses)
Double Gloves (inner is Chemo Glove)
Procedure Mask Chemo Gown Shoe Covers
Chemo Gloves
Double Gloves (inner is Chemo Glove)
Procedure Mask Chemo Gown
Sterile Gloves (Pharmacy) Exam Gloves (Nursing) Exam Gloves
Chemo Gloves Procedure Mask
Exam Gown
Packaging requirements(by Pharmacy)
Each dose packagedseparately Unit-dose Unit-dose No special
requirements Unit-doseSOLIDS unit-doseLIQUIDS unit-dose or multi-dose
Labeling requirements (for use in patient care area)
CYTOTOXICCYTOTOXIQUE
CYTOTOXICCYTOTOXIQUE
CYTOTOXICCYTOTOXIQUE WEAR GLOVES WEAR GLOVES
DO NOT CRUSHWEAR GLOVES
DO NOT CRUSH
Packaging for transport (topatient care area, other pharmacyarea, external pharmacy)
Double Sealed Container
(e.g. Ziploc® bags)
Sealed Container(e.g. Ziploc® bag)
Sealed Container (e.g. Ziploc® bag)
No special requirements
No special requirements
No special requirements
Clean-up protective wear
Double Gloves (inner is Chemo Glove)
N95 Mask Protective Eye Wear
Chemo Gown Shoe Covers
Chemo GlovesChemo Gloves
Procedure Mask Chemo Gown
Exam Gloves Exam GlovesChemo Gloves
Procedure Mask Exam Gown
Administration & Disposal1
Administration restrictions REFER TO SITE-SPECIFIC POLICIES REFER TO SITE-SPECIFIC POLICIES
Administration precautions
Chemo Gloves requiredProcedure Mask/
Chemo Gown recommended
Chemo Gloves
Chemo Gloves requiredProcedure Mask/
Chemo Gownrecommended
Exam Gloves Exam Gloves Do Not Crush
Exam GlovesDo Not Crush
Medication waste management
Chemo Gloves requiredProcedure Mask/
Chemo Gown recommended
Chemo Gloves Chemo Gloves No additional precautions
No additional precautions
No additional precautions
Human waste management
Chemo Gloves requiredProcedure Mask/
Chemo Gown recommended
Chemo Gloves requiredProcedure Mask/
Chemo Gown recommended
Chemo Gloves requiredProcedure Mask/
Chemo Gown recommended
No additional precautions
No additional precautions
No additional precautions
Spill managementREFER TO SPILL MANAGEMENT ALGORITHM
(see Appendix B of WRHA Safe Handling of Hazardous Medications(Cytotoxic and Non-Cytotoxic) Policy 110.160.010 July 2012 at
http://home.wrha.mb.ca/corp/policy/files/110.160.010.pdf )
Chemo Gloves requiredProcedure Mask/
Chemo Gownrecommended
Chemo Gloves requiredProcedure Mask/
Chemo Gownrecommended
Chemo Gloves requiredProcedure Mask/
Chemo Gownrecommended
1 Shoe covers & protective eye wear should be worn whenever there is potential for splashing* Compromised Dosage Form: Any solid dosage form (tablet or capsule) that is changed in any way; e.g. splitting or crushing a tablet, opening a capsule to empty the powder, preparing a suspension from tablets. For the purposes of this policy all oral
liquids, topical and inhalation preparations (including commercially prepared products) are considered compromised dosage forms.
FORM
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-004
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03/
2013